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Health Promotion Practice
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Article

Methods for the Cultural Adaptation of a Diabetes Lifestyle Intervention for Latinas: An Illustrative Project

Diego Osuna, MD, MPH*, Manuel Barrera Jr., PhD, Lisa A. Strycker, MA, Deborah J. Toobert, PhD, Russell E. Glasgow, PhD, Cristy R. Geno, MPH, Fabio Almeida, PhD, Malena Perdomo, MS, RD, CDE, Diane King, PhD, and Alyssa Tinley Doty, MA

* To whom correspondence should be addressed. E-mail: diego.osuna{at}kp.org.


   Abstract
Because Latinas experience a high prevalence of type 2 diabetes and its complications, there is an urgent need to reach them with interventions that promote healthful lifestyles. This article illustrates a sequential approach that took an effective multiple-risk-factor behavior-change program and adapted it for Latinas with type 2 diabetes. Adaptation stages include (a) information gathering from literature and focus groups, (b) preliminary adaptation design, and (c) preliminary adaptation test. In this third stage, a pilot study finds that participants were highly satisfied with the intervention and showed improvement across diverse outcomes. Key implications for applications include the importance of a model for guiding cultural adaptations, and the value of procedures for obtaining continuous feedback from staff and participants during the preliminary adaptation test.

First published on October 20, 2009
Health Promotion Practice 2009, doi:10.1177/1524839909343279


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